Kauri Unit,Mason Clinic,Regional Forensic Psychiatry Services,Auckland,New Zealand.
Department of Psychological Medicine,The University of Auckland,Auckland,New Zealand.
Int Psychogeriatr. 2018 May;30(5):647-662. doi: 10.1017/S1041610217002186. Epub 2017 Nov 2.
ABSTRACTBackground:Our objective was to examine and describe the common socio-demographic and clinical characteristics of first time older sex offenders.
Research papers published in MEDLINE, PsycINFO, and EMBASE were searched systematically. Following removal of duplicates and irrelevant papers, a total of 423 papers were reviewed to determine whether the selection criteria were met. A total of seven publications were included and evaluated by two researchers.
Of the seven publications, there were two retrospective research studies and five case reports. There was a higher proportion of neurocognitive disorder in this offender group and the victims were usually vulnerable individuals. Yet, cognitive assessments were rarely done or reported. Two subtypes of older sex offenders were identified: (i) offenders who had offended in the past but were not previously detected; (ii) first-time offenders with a high proportion of neurocognitive disorder.
There is a paucity of research in first time sex offending by older people. This review has highlighted a need for better designed studies to explore the characteristics of older sex offenders. Better collaboration between forensic and old-age psychiatric services is required for improved assessment and management of older sex offenders.
本研究旨在探讨和描述初次老年性犯罪者的常见社会人口学和临床特征。
系统检索了 MEDLINE、PsycINFO 和 EMBASE 上发表的研究论文。在去除重复和不相关的论文后，共审查了 423 篇论文，以确定是否符合选择标准。共有 7 篇出版物被纳入并由两位研究人员进行评估。
在这 7 篇出版物中，有 2 篇是回顾性研究，5 篇是病例报告。该犯罪人群组中神经认知障碍的比例较高，受害者通常是弱势群体。然而，很少进行或报告认知评估。确定了两种类型的老年性犯罪者：（i）过去曾犯罪但以前未被发现的罪犯；（ii）有较高比例神经认知障碍的初次性犯罪者。
关于老年人初次性犯罪的研究较少。本综述强调需要更好设计的研究来探讨老年性犯罪者的特征。为了改善对老年性犯罪者的评估和管理，需要法医和老年精神病学服务之间更好的合作。
